- [Voice Over] The Dementia
Researcher Podcast,
Speaker:talking careers, research,
conference highlights,
Speaker:and so much more.
Speaker:- Hello and welcome to the
Dementia Research Podcast.
Speaker:Today we're talking about life
as a researcher with ADHD.
Speaker:(bright music)
Speaker:Hello, I'm Gemma Lace and
I'm a dementia researcher
Speaker:and associate dean at the
University of Salford.
Speaker:I'm hosting today's episode
Speaker:because this is a topic that
feels really personal to me.
Speaker:ADHD is something that has
shaped my own experience of work
Speaker:and research, and it's
something I know many people
Speaker:are navigating quietly.
Speaker:In this conversation, we
want to better understand
Speaker:what ADHD looks like in practise,
Speaker:how we can affect people differently,
Speaker:and our researchers
have found ways to work
Speaker:with it at different
stages across their career.
Speaker:We'll also talk about
what has been challenging,
Speaker:what has helped, how
people have found ways
Speaker:to succeed in research environments
Speaker:that are not always designed
with neurodiversity in mind.
Speaker:I'm joined today by Dr. Eric
Hill, Kalliopi Mavromati,
Speaker:Natalie Wickett and Kate Harris.
Speaker:Say hello everyone.
Speaker:- Hi.
- Hi.
Speaker:- Hello.
Speaker:- Thank you all for joining me.
Speaker:We've already said this is going to be fun
Speaker:and chaotic, so we might all break out
Speaker:into spontaneous laughter.
Speaker:So I think we just embrace
that from the beginning.
Speaker:To start us off, could I ask you all
Speaker:to briefly introduce yourselves?
Speaker:So Eric, could I start with you?
Speaker:- Yep, I'm Dr. Eric Hill.
Speaker:I'm a reader in cellular
Speaker:and molecular neurobiology
at Loughborough University.
Speaker:I was diagnosed with ADHD
Speaker:probably about eight or nine years ago.
Speaker:- Fabulous, thanks Eric.
Speaker:Kate, do you wanna go next?
Speaker:- So, I'm Dr. Kate Harris.
Speaker:I'm a senior lecturer
Speaker:in interdisciplinary drug discovery
Speaker:up at Newcastle University
and I was diagnosed
Speaker:with ADHD about five months ago.
Speaker:So it's all very new.
Speaker:- Fabulous.
Speaker:Kalliopi, do you wanna go next?
Speaker:- You can call me Kalli,
but Hh, I'm Kalli.
Speaker:I'm a researcher at the
University of Glasgow.
Speaker:I research dementia
Speaker:and I create scales for
measuring life after stroke.
Speaker:I was diagnosed with ADHD
about two years ago at 23.
Speaker:- Fabulous.
Speaker:- Thanks Kalli, and Natalie.
Speaker:- Hi, I'm Natalie.
Speaker:I'm at graduate school at Simon
Fraser University in Canada,
Speaker:and I got diagnosed with
ADHD about four years ago,
Speaker:I think when I was 20.
Speaker:And I'm interested in researching dementia
Speaker:and strength training
and physical activity.
Speaker:- Very cool.
Speaker:I'm already getting imposter syndrome now
Speaker:because I have been in and out
of the diagnostic procedure
Speaker:for about seven years
Speaker:and now I've just abandoned
it and given up all hope.
Speaker:So I the only one who's
not formally diagnosed.
Speaker:(bright music)
Speaker:Okay, to begin, could you
explain what ADHD actually is
Speaker:for someone who may be
hearing about this properly
Speaker:for the first time?
Speaker:Eric, can I come to you first for that?
Speaker:- Yeah, ADHD is a terrible name.
Speaker:So it stands for Attention
Deficit Hyperactivity Disorder.
Speaker:And so what we need to understand is
Speaker:it's a lifelong
neurodevelopmental disorder.
Speaker:It has a huge genetic component to it
Speaker:and around about two to 5%
of all adults are suspected
Speaker:to have ADHD, but only about one in nine
Speaker:are actually diagnosed with ADHD.
Speaker:And I think when we think
of ADHD, I was diagnosed
Speaker:with a combined inattentive
and hyperactive.
Speaker:And so we think of often
the the hyperactive side
Speaker:of ADHD and not necessarily
that inattention.
Speaker:And it's not necessarily
that we lack attention,
Speaker:it's that maybe our
attention isn't directed
Speaker:at the right place at the right time.
Speaker:So you think of people
following a particular task
Speaker:and maintaining attention,
Speaker:particularly if it's something they're not
Speaker:necessarily interested in.
Speaker:So maybe you're not listening
Speaker:to someone when you're
being spoken to directly
Speaker:'cause you've got distracted,
Speaker:to the kind of more hyperactive side
Speaker:where you're fidgeting,
Speaker:you're tapping, squirming,
biting your nails,
Speaker:leaving your seat when
you'd probably be expected
Speaker:to stay sitting down
Speaker:and that kind of feeling of restlessness
Speaker:and almost like you're driven by a motor.
Speaker:And those are some of the kind of things
Speaker:that they look at when they're going
Speaker:through the diagnostic pathway review.
Speaker:- So you mentioned there,
Eric, that there's often
Speaker:that focus on the hyperactivity element.
Speaker:So Kate, I'm gonna direct this one at you.
Speaker:Do you think that ADHD is misunderstood
Speaker:by the wider population?
Speaker:- Oh yeah.
Speaker:Also, I was really loving Eric,
Speaker:when you were giving your descriptions,
Speaker:it was properly taking me
back to the questionnaire
Speaker:that they make you answer.
Speaker:Like the bit was like, oh,
Speaker:do you feel like you're driven by a motor?
Speaker:I'm just like, yep,
that's memory right there.
Speaker:Yes, I think it really is.
Speaker:I think that there's a huge amount of
Speaker:development that's happening
now where people are starting
Speaker:to understand more, but it's
also a relatively new thing.
Speaker:It's not new in terms of
people have heard about it,
Speaker:but for it to become quite
mainstream is quite new.
Speaker:So we're starting to understand more
Speaker:and there's obviously kind of
our generation are the ones
Speaker:that are really sort of learning about it,
Speaker:but obviously, it's hereditary.
Speaker:So our parents' generation
Speaker:and our grandparents' generation are like,
Speaker:what is this nonsense?
Speaker:This was just normal.
Speaker:And then they obviously forget that
Speaker:what there's normal maybe different to
Speaker:what is actually normal.
Speaker:I still find it hilarious
that they go to your parents
Speaker:to ask them if you were normal
growing up when there's a 70%
Speaker:or 80% chance that they
were not normal growing up.
Speaker:But anyway, that's a discussion
for later in the podcast.
Speaker:I think a lot of the
misunderstanding is about
Speaker:that hyperactivity and not
necessarily the inattention
Speaker:and the fact that you
simultaneously be both distracted
Speaker:and hyperactive and hyperfocused.
Speaker:It's not intentional.
Speaker:None of this is intentional.
Speaker:It's just there's not
enough dopamine for us
Speaker:to do whatever you want
us to do at any one time.
Speaker:A huge aspect of it, at least
from perspective people,
Speaker:myself and people I know is about
Speaker:internal emotional regulation as well.
Speaker:People misunderstand that
side of it very much.
Speaker:And controlling impulse
Speaker:and controlling the ability
Speaker:to not speak even though you
really don't wanna speak,
Speaker:but it just comes out.
Speaker:So a lot of that, so that can lead
Speaker:to you being the
disruptive one in the room
Speaker:or the one that's not serious
or the one that's always late
Speaker:because they don't care
Speaker:or poor attention to detail,
Speaker:which in the sciences does use
such a solid when you can't
Speaker:pay attention to detail consistently.
Speaker:So yeah>
- I think
Speaker:you're absolutely right there
Speaker:and I think sometimes what
is misunderstood as well is
Speaker:how it can manifest differently
in different situations
Speaker:as well as differences
Speaker:between different individuals as well.
Speaker:So Kalli, I wanted to to ask
you about, you know, some
Speaker:of the things that you
just heard there from Eric
Speaker:and from Kate about how
maybe some of the things
Speaker:that they had experienced
as part of their ADHD.
Speaker:What about your kind of
individual experience of ADHD?
Speaker:- Yeah, I 100% agree with everything
Speaker:that's been said in case my nodding
Speaker:hasn't made that clear enough.
Speaker:I'm a serial nodder, whenever
I agree, you'll see it.
Speaker:But yeah, I think for me,
Speaker:because it's difficult for me
Speaker:to discuss something about my past
Speaker:before I was diagnosed is
actually quite emotional.
Speaker:But for me, as someone who has both autism
Speaker:and ADHD, it has been
even just understanding
Speaker:what ADHD really means
Speaker:because it's very tangible
to explain to my family
Speaker:and my friends and my colleagues
Speaker:has made a massive difference in my life.
Speaker:At the same time, I have
experienced ADHD as a true gift
Speaker:and at the same time, a bit of a burden.
Speaker:I have, as I probably think many people
Speaker:with ADHD think, I have many times thought
Speaker:that there was something to be fixed.
Speaker:And in fact, even after I got my diagnosis
Speaker:and started meds for about the first year
Speaker:and a half, I thought I
had to just fix my ADHD.
Speaker:And then it's only been recent months,
Speaker:which is well into the second year of me
Speaker:using stimulants, short
term and modified release
Speaker:I should add as well,
Speaker:I'm finding that I don't
actually want to change it.
Speaker:Instead I just want to
find a way to regulate it
Speaker:so that I can continue doing
everything I want to do
Speaker:and everything that makes me happy.
Speaker:But that does mean that, for example,
Speaker:when I'm in hyperfocused mode
Speaker:and thanks for bringing it up Kate,
Speaker:I was thinking about this,
Speaker:as I've been in the
last two days actually.
Speaker:I need to just let my brain do its thing
Speaker:and then I will use my
meds after when I'm calm
Speaker:and I'm struggling to get out
of bed in like a week or so.
Speaker:So I guess
Speaker:I've like gone over like
a gazillion faults there,
Speaker:but for full transparency,
I made the decision
Speaker:to not take meds before this conversation
Speaker:so that I could be visibly unmasked
Speaker:because I never had that
when I was growing up
Speaker:and I thought it would be
nice to be that person.
Speaker:- Kalli, thank you so much.
Speaker:Thank you so much for sharing that.
Speaker:It's really brave and you
are amongst friends here
Speaker:and your words are
likely to really hit home
Speaker:with everyone who's listening.
Speaker:So thank you so much for
your bravery, kudos to you.
Speaker:It is quite difficult
to be open, isn't it?
Speaker:You know, I know when I was growing up,
Speaker:if you had ADHD you were
kind of a naughty kid.
Speaker:I know my mom was really
adamant about not being
Speaker:labelled with anything.
Speaker:I was described as a butterfly
Speaker:and I thought that was a much nicer
Speaker:because I was essentially, yeah,
Speaker:I don't even have the words to say
Speaker:what I want a Tasmanian devil running
Speaker:around interested in everything
Speaker:and you know, some of the words
that you mentioned, Kalli.
Speaker:So I just went off on my
first one of whatever.
Speaker:Kalli, you mentioned that hyper focus.
Speaker:I wonder if you or anyone else in the room
Speaker:just wanted to explain
Speaker:what we mean by hyperfocus
Speaker:'cause I think we all get
what we mean by hyperfocus
Speaker:and it might be useful
for the non-ADHD community
Speaker:to understand what hyperfocus looks like
Speaker:and also what happens after
a period of hyperfocus.
Speaker:- As a neuroscientist, I've
been very intrigued by that
Speaker:because I never was
taught that in my degree.
Speaker:Not at any point,
Speaker:but from everything I've understood
Speaker:in the last couple of years,
hyperfocus is kind of,
Speaker:it's also hormonally determined,
especially for women.
Speaker:We wanna make that very clear,
Speaker:but it's basically, it's not
a state, it's just kind of,
Speaker:your brain just kind of starts
being a little bit hyper,
Speaker:but not in the physical hyper
way in the, I have a lot
Speaker:of thoughts and I want to
do the things I am thinking.
Speaker:For me, a lot of the
time it's doing science,
Speaker:like a lot of science very intensely
Speaker:without wanting to stop.
Speaker:And if I am interrupted
because I have to eat
Speaker:or I have to sleep, it actually
feels like uncomfortable.
Speaker:And sometimes that
hyperfocus can look like me,
Speaker:like having all-nighters.
Speaker:It can be stress induced sometimes for me
Speaker:because I'm no longer
in education formally,
Speaker:it's not induced by stress,
it's more by creativity.
Speaker:And whenever that happens
to align with that cycle
Speaker:of my menstrual phase, but it's,
Speaker:but yeah, it's that kind of thing.
Speaker:And then afterwards, it's sort of a,
Speaker:your brain has used up all of the dopamine
Speaker:it has to help you initiate tasks
Speaker:because as Eric said, it's not that
Speaker:you don't have attention, it's
that you have it spread out
Speaker:in a lot of places
Speaker:and there's not quite
enough dopamine for you
Speaker:to focus in one place and
actually act on what you wanna do.
Speaker:So once it's all been used up
during your hyperfocus state,
Speaker:you kind of then tend to
crash in my experience.
Speaker:And it's a little bit like it's harder
Speaker:to do the basic things.
Speaker:Eric, what you think?
Speaker:- Yeah, I think a lot of
what's not kind of described
Speaker:in the diagnostic criteria
when you're talking
Speaker:to professionals
Speaker:and other people, it's that
the linking all of that
Speaker:to your executive functions,
that there's things
Speaker:that I guess most people take for granted,
Speaker:but kind of your inhibit your
control, your self control,
Speaker:your ability to hold
information, your working memory
Speaker:and your cognitive
flexibility are all disrupted.
Speaker:And those links to kind of
Speaker:where you get reward from something
Speaker:and that reward can differ wildly
Speaker:to doing something
really boring and inane.
Speaker:And for me, a lot of the time it's,
Speaker:I love reading about science sometimes
Speaker:and I'll just go into a rabbit hole
Speaker:of science and then I'll emerge
and it'll be hours later.
Speaker:And knowing I'm doing that, having,
Speaker:I've got maybe tonnes of
marketing to do in the background
Speaker:and I'm getting reward from
Speaker:one thing and not from the other.
Speaker:So I'm just focusing on the thing.
Speaker:And then having that time
blindness where you don't notice
Speaker:'cause it's difficult
to shift your attention.
Speaker:And I think for a lot of people with ADHD,
Speaker:it's that shift in attention
from that hyperfocus
Speaker:where you get a reward to
something that's not necessarily
Speaker:that interesting to you or
that rewarding at that moment
Speaker:unless there's those other
things like fear of failure
Speaker:and embarrassment and stuff
driving things forward.
Speaker:And I think the way people
present the diagnosis rates
Speaker:between males and females
is very different.
Speaker:And that's not based on
any biology or genetics.
Speaker:The occurrence is identical,
Speaker:but I think the presentation is different
Speaker:that often women don't often
show that hyperactivity
Speaker:or it's frowned upon.
Speaker:Whereas me running and jumping
Speaker:and throwing myself at trees,
Speaker:that's fine, that's what boys do.
Speaker:It's just being in a laugh
Speaker:and my parents said, you haven't got ADHD,
Speaker:you're just like your dad, right?
Speaker:And I was like, hmm, yeah,
Speaker:like kind think like
there's a reason for that.
Speaker:He'd get the same score as me I imagine.
Speaker:So I think that that kind of
Speaker:how the kinda social
representation like comes to bay
Speaker:as well, what people are expecting to see
Speaker:and then that kind of internalisation,
Speaker:that internal hyperactivity.
Speaker:People might not see that
but it's still there.
Speaker:So I think people understanding
there are different ways
Speaker:it's presented but it's still those
Speaker:very similar symptoms as well.
Speaker:- Yeah, cheers Eric.
Speaker:Natalie, what about you?
Speaker:We spoke a lot about, you
know, how the symptoms
Speaker:manifesting in different
people in the room.
Speaker:So what about you, what's
your experience of ADHD?
Speaker:- I actually wanted to
touch back on ADHD being
Speaker:misunderstood and hyperactivity
Speaker:and what Eric just mentioned
about the differences
Speaker:in presentation between males and females.
Speaker:And that as a girl, I find that I have
Speaker:that more internalised hyperactivity
Speaker:and I might be completely
still, but my mind is going
Speaker:and going and going and that
kind of difference there,
Speaker:which I've spoke about
with many of my friends
Speaker:who have ADHD as well.
Speaker:Yeah, and I think that can
make it very misunderstood
Speaker:for girls.
Speaker:- Question.
Speaker:Natalie, I was thinking
recently I was noticing
Speaker:that when I'm like around
Speaker:and during my period I find that I, a lot
Speaker:of my internal hyperactivity is emotional.
Speaker:So like I tend to kind of
think about not nice things
Speaker:and things that make me really sad.
Speaker:But then when, when I'm out of that part
Speaker:of my cycle like I am now,
it's more about things
Speaker:that make me actually want to act.
Speaker:And sometimes I do get a little bit
Speaker:of physical hyperactivity
Speaker:but still like the internal
hyperactivity is more like
Speaker:creative than it is emotional.
Speaker:Do you find that at all?
Speaker:- Yeah, I did actually
wanna talk about the like
Speaker:menstrual cycle as well and
I'm glad you brought that up
Speaker:because that's where I was
originally gonna go with my point
Speaker:that before I lost my train of thought
Speaker:that in my follicular phase
when oestrogen is higher,
Speaker:I do feel like my focus is much better,
Speaker:I feel better in myself.
Speaker:I feel, I mean most women do,
Speaker:but my ADHD symptoms I feel
like are partially relieved
Speaker:and they get much worse
in the luteal phase.
Speaker:I struggle with my mood much more.
Speaker:I struggle with my focus much more.
Speaker:Everything feels much worse.
Speaker:Sometimes it even feels like
my medication just doesn't work
Speaker:in that part of the cycle.
- That is so true.
Speaker:It's just, and you can't predict
Speaker:if it's gonna work or not, right?
Speaker:- They had to give me an extra booster
Speaker:for when I'm on my period
'cause nothing works.
Speaker:My long release stuff doesn't work.
Speaker:So they literally had to dial up my meds
Speaker:just for that week.
- Wow.
Speaker:I tried not taking them when I find
Speaker:that they're making me a little bit hyper
Speaker:and actually on those days
just before my period,
Speaker:actually that seems to work better.
Speaker:But then it's again a coin toss.
Speaker:You have to take it one day
Speaker:and find that it's, oh it's
making me do too much today
Speaker:and then it's, you can't predict it.
Speaker:Like those few days are just totally--
Speaker:- Get in the hang of it.
Speaker:I've only just finished titration
Speaker:so I'll let you know in a year's time.
Speaker:- I think it's important as
well for people that the links
Speaker:between oestrogen and
menopause, I think a lot
Speaker:of people getting brain fog, memory loss
Speaker:and also realising they've
got ADHD at that point
Speaker:and that again, being
misdiagnosed is quite important.
Speaker:- So literally, 'cause the two were for,
Speaker:for girls are often children.
Speaker:So if you're not found out sooner,
Speaker:found out, that was the wrong phrase.
Speaker:It's children or menopause, you're right
Speaker:'cause I have no idea this
was a total blindside to me,
Speaker:two years ago, but then I had kids
Speaker:and my whole like my brain fell apart.
Speaker:- Yeah, absolutely.
Speaker:The compensatory mechanisms like
Speaker:you get them all together
and then children
Speaker:or menopause, all that shifts
and that blanket of oestrogen
Speaker:and hormones changes
Speaker:and then whatever mechanisms
you were using as a bit
Speaker:of a survival tactic are just
that rug is whipped around
Speaker:and so it changes.
- Honestly with kids,
Speaker:do you have time for yoga
Speaker:to stop you buying a million
things on a random website?
Speaker:No.
Speaker:- More about the panic eating
custard creams in secret
Speaker:so that you can do something.
Speaker:It happens.
- Yeah, I always used
Speaker:to eat caramel digestives
when I would study
Speaker:to like try and help me.
Speaker:- I have a friend introduced
me to volume eating
Speaker:and she explained that
basically if you just eat foods
Speaker:that are very chewy, even
if they don't have a lot
Speaker:of calories, so think carrots, popcorn,
Speaker:like it doesn't even
have to be like healthy.
Speaker:It can literally just be eating popcorn
Speaker:or like tortilla chips
because you're, you know,
Speaker:I don't know about you but
I stim with chewing a lot
Speaker:of the time so that's also why I lost
Speaker:a little weight once I started meds.
Speaker:Just chewing, it helps a lot.
Speaker:So something I tried was,
Speaker:when I first started I
would like take my meds
Speaker:during the week and
then not in the weekend.
Speaker:And I realised that if I
make sure I have popcorn
Speaker:and like baby tomatoes or carrots
Speaker:and cucumbers in the house,
Speaker:I could literally just
like be constantly chewing
Speaker:while I watch a movie and
I can sit still to watch it
Speaker:because I'm chewing the whole time
Speaker:and it doesn't fill me up too much.
Speaker:But I still kind of feel like
I've eaten, I don't know,
Speaker:the caramel digestives is a great idea
Speaker:and I'm gonna try that on my
next office date that I go.
Speaker:- I was gonna mention that it's the key
Speaker:kind of diagnostic criteria
criteria when you go
Speaker:through all the questionnaires
and you tick them off
Speaker:and your doctor looks at
it and says whether you're,
Speaker:you know, you've hit enough of the points
Speaker:to go into the diagnosis
but the sides of it
Speaker:that aren't part of
the diagnostic pathway.
Speaker:So things like that
emotional dysregulation,
Speaker:the rejection sensitivity, the sleep,
Speaker:the time blindness, sensory process
Speaker:and the fact that they 85% people
Speaker:with ADHD have something else going on.
Speaker:Whether that's mental health
issues, autism, dyslexia,
Speaker:dyspraxia and all of those.
Speaker:And so people don't think about
Speaker:that when they're thinking about ADHD.
Speaker:They're just thinking about these people
Speaker:that are bouncing about
and uncontrollable.
Speaker:They're not seeing all those
other things that I think
Speaker:that are quite important
for people with ADHD
Speaker:and they think that
maybe they struggle with
Speaker:that aren't part of the criteria.
Speaker:- Also, I have been
thinking about this lot
Speaker:and I would, I was
thinking it would be good
Speaker:to bring it up in this
Dementia Researcher Podcast.
Speaker:I've been listening to, you
know, friends and family
Speaker:and although I can't share their stories
Speaker:because they're not mine to tell,
Speaker:I'm seeing that some women in
Speaker:and around my life are realising
Speaker:that actually they have
ADHD later in life.
Speaker:But much later in life that at the point
Speaker:where other people may worry
that they have dementia.
Speaker:I distinctly remember the months
Speaker:before I started meds,
I was really struggling
Speaker:so much I kept saying
to everyone around me,
Speaker:I feel like I have dementia.
Speaker:I find unfinished emails everywhere.
Speaker:I don't remember starting them.
Speaker:I don't remember why they're not finished.
Speaker:There's missing words
in the stuff I write.
Speaker:I'm confused, I dunno why that's happening
Speaker:even though I have systems
Speaker:so I don't forget stuff technically.
Speaker:And I was thinking as a researcher
Speaker:that actually this is probably something
Speaker:that you can find in functional
measures of daily life.
Speaker:I literally two days ago
wrote up a project proposal
Speaker:where I'm going to try
Speaker:and use functional like
functional activities records
Speaker:from a retrospective cohort
of older adults to try
Speaker:and see if I can make up
an ADSU diagnosis based on
Speaker:that functional daily life data.
Speaker:(bright music)
Speaker:- Okay, so one thing that
I'm really curious about,
Speaker:we're all dementia
researchers in the room.
Speaker:Was there anything specific
Speaker:around being a dementia researcher
Speaker:or being in academia
Speaker:that made your ADHD
maybe a bit more apparent
Speaker:or triggered it
Speaker:or made you notice different
sides of your ADHD?
Speaker:I see Kate is nodding enthusiastically.
Speaker:Should we go with you first Kate?
Speaker:- Yes.
Speaker:I have three words
Speaker:that maybe people in this
call will identify with,
Speaker:which is rejection sensitivity dysphoria.
Speaker:- Please elaborate because
there may be people listening
Speaker:who have no idea what that is.
Speaker:- So this is a term used
Speaker:to describe, I'm trying to
think of a way of saying it.
Speaker:A phenomenon.
Speaker:Oh my goodness, I sound so jargony.
Speaker:Essentially one of the
hallmarks of having ADHD can be
Speaker:that you are incredibly
sensitive to perceived rejection
Speaker:and perceived is a really
important word here.
Speaker:So two things I wanna clarify there are
Speaker:sensitive does not mean
it's uncomfortable.
Speaker:It means there is a visceral
pain in the very centre
Speaker:of your being that makes
you feel evolutionarily like
Speaker:you're being chased by a lion.
Speaker:Now I haven't actually
been chased by a lion,
Speaker:but I have been in fear
for my life in the past
Speaker:and the feeling is the same.
Speaker:The second is the perception of rejection.
Speaker:So for me, unless feedback
Speaker:or comments are genuinely positive,
Speaker:my brain will interpret that as rejection.
Speaker:Which means anytime any feedback
Speaker:or any conversation does not lead
Speaker:with someone saying something
outwardly positive about me
Speaker:as a human being or a researcher,
Speaker:my fight or flight kicks
in and as an academic,
Speaker:rejection, genuine rejection
comes thick and fast
Speaker:and perceived rejection
is pretty much constant.
Speaker:So I'm not gonna lie.
Speaker:Yes, okay.
Speaker:I'm not having any
structure during my job.
Speaker:Becoming an independent leader was bad,
Speaker:but realising that I couldn't navigate
Speaker:even being in meetings,
the differences of opinion
Speaker:or every time I asked
something, someone saying no
Speaker:'cause bureaucracy said
no was basically me
Speaker:in a constant state of panic attacks.
Speaker:And that was when I realised
maybe I was a bit more
Speaker:than just bubbly and
like to run around a lot.
Speaker:- And I think that that is
something that is crucial
Speaker:if you are a PI or a supervisor
Speaker:or you are working with someone with ADHD,
Speaker:if you are not aware of that
Speaker:and the impact of your words
Speaker:that can literally send
someone into a spiral
Speaker:of anxiety
Speaker:and catastrophizing, that is
something really important
Speaker:that you know, if you're
listening to this,
Speaker:if you're watching this
Speaker:and you aren't aware of
that, you've been mindful of
Speaker:how you articulate
feedback and being mindful
Speaker:and being able to read the room knowing
Speaker:that not everyone will be able
to be able to read that room.
Speaker:It's so important isn't it?
Speaker:- So I'm laughing.
Speaker:That was actually probably pretty bad.
Speaker:- It is very uncomfortable.
Speaker:I've seen some interesting
memes about this of people
Speaker:kind of laying in foetal positions
Speaker:after getting paper rejections
Speaker:and it is that bad, isn't it?
Speaker:It is absolutely horrific.
Speaker:- Well if you just present a research idea
Speaker:and someone just goes,
yeah, I don't really believe
Speaker:in your field of research
and you're like, right,
Speaker:I just need to jump off something.
Speaker:Like there's no point in me being here.
Speaker:I'm gonna move like, and
you can't control it.
Speaker:It's not drama.
Speaker:Like I would love not to behave like this.
Speaker:And it's not like I
kick off in the meeting,
Speaker:I go and I just sob on my own.
Speaker:But the fact of the matter
is, is it takes time away
Speaker:from writing grants.
Speaker:- Yeah.
Speaker:What about some of the positive elements
Speaker:of ADHD then, you know, how
have you kind of embraced
Speaker:some of your ADHD to make progress?
Speaker:Everyone in this room is successful
Speaker:and if you're thinking no I'm not
Speaker:that's your imposter syndrome,
Speaker:that is absolutely your imposter syndrome.
Speaker:So what do you feel have you been able
Speaker:to take advantage of with
respect to your ADHD?
Speaker:- I think I'm really careful
Speaker:'cause I know some people
say that ADHD is a superpower
Speaker:and I don't believe that,
Speaker:it wouldn't be a disability
or seen like that if it was.
Speaker:And I think if you could bottle
Speaker:that hyperfocus, yeah, amazing.
Speaker:But you can't, so it's
the worst superpower ever.
Speaker:If you could like, if you can't
Speaker:actually use it when you need it.
Speaker:So for me though, at certain times,
Speaker:that kind of interest in something
Speaker:and for me, it's always been
science since I was a child.
Speaker:I think my nan used to know that she came
Speaker:to science museum and that's carried on.
Speaker:And so for certain things in science that
Speaker:I would just be buried in
and really be obsessive
Speaker:and I think that energy that that brings
Speaker:that people are like, oh my
god, Eric's really excited,
Speaker:jumping up and down that
you've got a result in lab.
Speaker:Kind of that infectious
enthusiasm for certain things.
Speaker:I think that's been great
at maintaining focus
Speaker:in certain things and
which is great in science
Speaker:'cause you're constantly chipping away
Speaker:and you're in interesting stuff.
Speaker:I think it's when you can't do that
Speaker:and you're having to do admin
Speaker:and other things in your
job and the boring stuff.
Speaker:And especially I think
Speaker:as your career develops,
your role gets bigger.
Speaker:You're doing other things.
Speaker:You've got a group,
Speaker:you've got all these deadlines
Speaker:and that's when I had my diagnosis
Speaker:because asked like why
can't I mark 60 exams
Speaker:in a day like other people?
Speaker:But I did 20 other things
Speaker:and it was another
academic that said, yeah
Speaker:because you've got ADHD Eric.
Speaker:And I was like, everyone used
Speaker:to joke about that when I was a child
Speaker:and they went that kind of thing
Speaker:and I thought, oh, I
went speak to my doctor
Speaker:and they went, have you ever done a test?
Speaker:And they went, wow,
you've got a high score.
Speaker:And I think, so for me
there were certain things
Speaker:that worked really well with
being a PhD student postdoc
Speaker:apart with some of the boring stuff.
Speaker:It was later on that it
became a massive problem.
Speaker:And I think that academia
is that constant environment
Speaker:of being peer assessed, peer reviewed.
Speaker:And just asking for rejection
Speaker:and then how do you deal with that?
Speaker:You can either spiral
Speaker:or I just get, oh, I'm gonna
prove you wrong kind of thing.
Speaker:Like I get angry and like it almost,
Speaker:and then I'm gonna be tenacious,
Speaker:I'm gonna actually might prove you wrong.
Speaker:And that emotional dysregulation can
Speaker:send people in a different direction.
Speaker:I think those around you
might, my god, they got angry
Speaker:about that or really upset
really quickly what was all that?
Speaker:And next section you're like,
I don't really care about it.
Speaker:I'm going to have some food, it's gone.
Speaker:So I think people might
not understand around you
Speaker:that dysregulation, that lack of control
Speaker:is because you're not able to control it.
Speaker:It's part of the ADHD and and
for us maybe accepting that
Speaker:and understanding why we do that
Speaker:and not beating ourselves up is important.
Speaker:But the people around you
might think, oh my god,
Speaker:don't really understand that.
Speaker:One of my PhD students said
I had an abrasive enthusiasm
Speaker:for science sometimes.
Speaker:In a good way I think.
Speaker:But I could see what
I do jump up and down.
Speaker:I do get excited about stuff
Speaker:if I'm really excited
about part of science.
Speaker:That's all I'll talk about for ages.
Speaker:So I can understand
that from other people.
Speaker:But yeah, for me, it's been great
Speaker:because my interest is science
Speaker:and it's my job so it's like my hobby.
Speaker:- It's really great to hear that
Speaker:'cause I know that having
special interest and that passion
Speaker:and enthusiasm, it's great
if you've got somewhere
Speaker:to channel it and many
people don't have somewhere
Speaker:to channel it and that can exacerbate
Speaker:the symptoms even more.
Speaker:Natalie, what about you?
Speaker:You know, how has ADHD
influenced your career
Speaker:and how you've, you know, navigated your,
Speaker:maybe your student years and your choices?
Speaker:- Yeah, I think the two things
Speaker:that I would definitely say
I managed to, I struggled
Speaker:to navigate the most is
the lack of structure
Speaker:and the fact that I would
call myself a perfectionist.
Speaker:But really it's more like if
I can't get something right
Speaker:the first time, I don't
wanna do it at all.
Speaker:That's something I really struggle with.
Speaker:Probably linking back to
the rejection sensitivity.
Speaker:But if I, yeah, if I can't do
it perfectly the first time,
Speaker:I don't wanna keep trying,
I wanna call it a day.
Speaker:But I think the lack of structure
Speaker:is probably the biggest one.
Speaker:Going into university,
Speaker:when I went and did my
undergraduate, I went to Exeter,
Speaker:did neuroscience and it
was almost like the rug
Speaker:had been pulled out from under my feet.
Speaker:Whereas before I had this
environment that I'd created
Speaker:to support myself and I had
my family to look after me
Speaker:and help me
Speaker:and remind me, like my mom would say, Nat,
Speaker:have you done your homework?
Speaker:Nat, have you packed your lunch?
Speaker:Nat, you know, everything
really got your PE kit.
Speaker:And if I hadn't, she'd pick me up on it
Speaker:and she'd drop me my lunch to
school or something like that.
Speaker:But then all of a sudden
when I went to university
Speaker:and I had all of that taken away
Speaker:and it required a lot
more executive function
Speaker:to navigate daily life and daily tasks.
Speaker:And that was really difficult
Speaker:in a new environment like that.
Speaker:And yeah,
Speaker:all of a sudden I went
from forgetting my lunchbox
Speaker:to locking myself out of my
flat multiple times a week
Speaker:and forgetting my keys
Speaker:or missing doctor's
appointments, missing lectures,
Speaker:not being able to get through
lectures, things like that.
Speaker:And the lack of structure from
university compared to school
Speaker:and having to regulate my
own schedule, my own timing.
Speaker:That was something that was
really difficult for me.
Speaker:- It's a real big shift
isn't it, from going from
Speaker:that really structured kind of environment
Speaker:to the research environment is
completely lacking structure.
Speaker:I'm gonna ask something that
might expose myself here.
Speaker:Has anyone, has anyone else
Speaker:as a compensation mechanism for that
Speaker:discomfort with the lack of
structure gone the other way
Speaker:and had to really over
structure everything
Speaker:to feel kind of safe and secure, right?
Speaker:Maybe lists everywhere of things.
Speaker:Is that a me thing?
Speaker:Is that my ADHD does
anyone else, you know,
Speaker:for certain things have to,
right like, Kalli's nodding.
Speaker:- Yeah, I've been, this is like,
Speaker:there's so much overlap between what you
Speaker:and Eric have been saying about you know,
Speaker:and also not, sorry oh my
gosh, I had like six tabs open
Speaker:and I'm trying to just
stick to one thought.
Speaker:I was trying to answer what you said about
Speaker:the compensator mechanisms.
Speaker:I use the office, going to the office,
Speaker:which I don't like doing
because I hate the commute.
Speaker:I use it to force myself to do
things that I don't wanna do.
Speaker:So I say yeah, wait, wait, wait.
Speaker:It works, it works.
Speaker:If I say, okay, I'm gonna
treat, I'm gonna get myself,
Speaker:I got myself a nice coffee machine
Speaker:and so I will make myself
a really nice coffee
Speaker:and I will enjoy my coffee
on the way to the office.
Speaker:And then when I get to the
office, I will just do the thing
Speaker:I don't wanna do and I'll just do it
Speaker:and it'll be out of my head.
Speaker:Also what I've started
doing to kind of give myself
Speaker:a little bit of structure. and oh.
Speaker:and I don't allow myself
to think about those things
Speaker:I'm avoiding when I'm not at the office.
Speaker:That has solved a lot of issues for me.
Speaker:It works so well.
Speaker:It's compartmentalization,
it's kind of like,
Speaker:like enclosed cognition
Speaker:but instead it's just about where you are.
Speaker:It's conditioning yourself.
Speaker:You just have to stick to it.
Speaker:It's hard at first
Speaker:and then it starts working a lot.
Speaker:It works.
Speaker:But after the other thing I
do is I actually work nights.
Speaker:So whenever I have to
write, I can't do that
Speaker:when there's people around.
Speaker:And I'm finding it that if I'm home alone,
Speaker:unless I'm in hyperfocus
mode, I can't get myself
Speaker:to do things when I'm alone.
Speaker:So I go to the office later like one
or 2 00:33:29
00 PM, I do the things I don't wanna do while
or 2 00:33:32
there's people around, you
know, I'm the office jester,
or 2 00:33:34
I bother them all the time.
or 2 00:33:36
And then when they're gone
then I turn the lights off
or 2 00:33:39
'cause I don't like the big light
or 2 00:33:41
and I just work away until
like eight or 9:00 PM
or 2 00:33:43
and that's me finished.
or 2 00:33:44
And I don't carry stuff home.
or 2 00:33:47
And I don't allow myself to do things
or 2 00:33:51
outside of my designated,
you know, structure
or 2 00:33:55
that has absolutely no meaning
or 2 00:33:56
because you could
literally just say Kalli,
or 2 00:33:58
couldn't you just do the exact same things
or 2 00:34:00
but in your home at your desk?
or 2 00:34:02
No I can't, I don't know what to tell you.
or 2 00:34:04
It's about that change of environment.
or 2 00:34:06
It's about telling myself
it's actual do things
or 2 00:34:10
that are annoying time,
or 2 00:34:11
but that structure really has been
or 2 00:34:13
working really well for me.
or 2 00:34:15
- So you've got some really
good compensation mechanisms
or 2 00:34:18
there about that building
your own structure,
or 2 00:34:20
setting some clear boundaries,
or 2 00:34:23
understanding when you work
best and how you work best.
or 2 00:34:27
And it also sounds like
you've snuck in a little bit
or 2 00:34:29
of reward there with linking
to your favourite coffee.
or 2 00:34:31
So there's some really cool
lessons to be learned there.
or 2 00:34:34
Sorry Eric, did you want to say something?
or 2 00:34:36
- Yeah, so I really benefited
from coaching later on
or 2 00:34:40
after diagnosed, meds really helped.
or 2 00:34:42
But then coaching was really great
or 2 00:34:43
and then I trained to
become a coach later on
or 2 00:34:47
and kind of like when we
were talking about things
or 2 00:34:49
my coach said, Eric, you're
weird for someone with ADHD
or 2 00:34:53
because you've got so
many organised things
or 2 00:34:55
to make sure you look organised.
or 2 00:34:57
That's really unusual and I
didn't really understand those
or 2 00:35:00
and my part of it might
be fear of failure,
or 2 00:35:02
that rejection sensitivity.
or 2 00:35:03
I don't appear normal in academia
or 2 00:35:05
'cause I have so many electric reminders.
or 2 00:35:06
Even time you've got 15
minutes start meeting,
or 2 00:35:09
you've got 10, you've got
five because I know I'll
or 2 00:35:11
carry on talking to someone.
or 2 00:35:13
And those things there
I've got two whiteboards
or 2 00:35:15
with multiple notes on,
'cause I know I'll be blind
or 2 00:35:17
to both of them at different points
or 2 00:35:18
and I'll have things
popping from my computer.
or 2 00:35:20
My watch will start to
vibrate if I'm doing a lecture
or 2 00:35:23
to say, Eric stop, you're
gonna go over the time.
or 2 00:35:25
And that there's so many
things I've put in place
or 2 00:35:27
and then a few people have also suggested
or 2 00:35:30
because I have so many rules I've created
or 2 00:35:33
and then maybe they've become
more apparent of medication
or 2 00:35:35
that maybe I've got autism and ADHD.
or 2 00:35:38
And when I thought I didn't,
lots of people just laughed
or 2 00:35:39
and said, why do you think you don't?
or 2 00:35:41
All the light sensitivity,
noise sensitivity.
or 2 00:35:43
The things I do in the same order,
or 2 00:35:44
my bag is in the same position.
or 2 00:35:45
All my meds are in certain
places in the kitchen
or 2 00:35:47
that I know I will have to pass and go to.
or 2 00:35:49
My bag is in front of the door
or 2 00:35:51
so I cannot forget it before I leave.
or 2 00:35:53
There are so many things to put in place
or 2 00:35:54
to make sure that that happens.
or 2 00:35:56
And I think a lot of
people would just do that,
or 2 00:35:58
but I have to have them there.
or 2 00:35:59
If I'm on the train, my bag
is wrapped around my leg
or 2 00:36:02
so I don't leave it.
or 2 00:36:04
So there's just lots of things
or 2 00:36:05
that you've done to appear normal.
or 2 00:36:07
But all these reminders I have to have
or 2 00:36:08
and that's kind of really
helped to have those.
or 2 00:36:11
But I think like Kalli said is it's,
or 2 00:36:13
it's having those rewards built in.
or 2 00:36:15
So if I let myself make myself
do this bit that I hate,
or 2 00:36:19
then I will get to have
lunch or that snack
or 2 00:36:21
or I'm gonna go for a walk
now or do something else
or 2 00:36:23
and compartmentalise it.
or 2 00:36:24
So maybe some people
describe it as golden time.
or 2 00:36:27
I'm gonna do the really
boring things in the morning
or 2 00:36:29
when my meds are at the highest.
or 2 00:36:30
So by the afternoon I can do other stuff.
or 2 00:36:33
And I always work best at night
and for ages I tried not to,
or 2 00:36:36
'cause I thought that's really bad for me
or 2 00:36:37
but I don't work very well
when other people are around.
or 2 00:36:39
If I haven't got my
playlist or whatever it is
or 2 00:36:42
or my noise cancelling headphones
depending on where I am,
or 2 00:36:44
I can't do that extended writing.
or 2 00:36:46
So having those rewards built in,
or 2 00:36:48
but just sometimes when
you are in that moment,
or 2 00:36:51
I have to just let it go.
or 2 00:36:52
Now I might, I'll spend hours writing
or 2 00:36:54
or doing something else
because if I try not,
or 2 00:36:56
if I try to force myself to
do it at a different time,
or 2 00:36:58
it's just never gonna happen.
or 2 00:36:59
- That was such a hard
lesson for me to learn.
or 2 00:37:03
I have, I went my entire
education and career
or 2 00:37:07
before meds by just having
multiple jobs, multiple things.
or 2 00:37:11
I did Greek exams to get here
or 2 00:37:14
and I was using one
or 2 00:37:15
to productively procrastinate
the other because that works.
or 2 00:37:18
I didn't have much free time
or 2 00:37:19
but I was avoiding one by doing the other.
or 2 00:37:21
So I was actually so productive
or 2 00:37:23
and I did that throughout uni
or 2 00:37:25
but then at some point
everybody was like, you need
or 2 00:37:28
to go slow and steady
with your dissertation.
or 2 00:37:30
And everybody kept trying
to force me to work in a way
or 2 00:37:32
that I am not capable of working
or 2 00:37:34
and I never will be able to do,
or 2 00:37:37
slow, steady and slow and steady.
or 2 00:37:39
No, never, can't do that.
or 2 00:37:41
- There's such a strong
restage in that for people who
or 2 00:37:46
aren't living with ADHD.
or 2 00:37:47
It's having a bit of empathy
of the different ways
or 2 00:37:51
of working and acknowledgement
that, you know,
or 2 00:37:55
it was a big deal when I
was in the lab of who was in
or 2 00:37:58
at what time and how many
hours people were doing.
or 2 00:38:03
And that research culture of acceptance
or 2 00:38:05
of different ways of
working different patterns.
or 2 00:38:08
Many of you have mentioned
using different states
or 2 00:38:12
of your energy to do different tasks.
or 2 00:38:15
Is that getting the
worst thing done first?
or 2 00:38:18
It's, you know, it's
called eating the frog
or 2 00:38:19
in the coaching world.
or 2 00:38:20
It's like get that worst
thing done and out of the way
or 2 00:38:23
and then reward yourself afterwards.
or 2 00:38:25
So there's loads of really
useful insights for people
or 2 00:38:28
who may be looking at this.
or 2 00:38:30
(bright music)
or 2 00:38:36
So Natalie, have you got anything that you
or 2 00:38:38
want to add to that?
or 2 00:38:39
- Yeah, I feel like I've tried
a million different things
or 2 00:38:41
to help with ADHD symptoms.
or 2 00:38:43
I've done all the planners,
or 2 00:38:44
I'm sure we all have and it's nothing new.
or 2 00:38:48
But I have a few kind of what
I call little hacks for myself
or 2 00:38:51
to set myself up for a good day
or 2 00:38:53
and set myself up to be
productive because otherwise,
or 2 00:38:56
I will just hyperfocus
on scrolling on my phone.
or 2 00:39:01
So mainly diet and exercise.
or 2 00:39:04
I find it really important for me.
or 2 00:39:05
If I move, I feel a hundred times better.
or 2 00:39:09
So I tend to wake up and go
to the gym straight away,
or 2 00:39:13
have a high protein breakfast
to help kickstart my day,
or 2 00:39:17
get that dopamine production going.
or 2 00:39:19
I think the high protein
breakfast is really important.
or 2 00:39:23
I have blue light glasses
even though I don't have
or 2 00:39:26
prescription glasses,
or 2 00:39:27
blue light glasses make
me feel like I'm smarter
or 2 00:39:30
and make me feel more productive.
or 2 00:39:33
So for whatever reason I put
my glasses on, I'm in my zone.
or 2 00:39:36
It's kind of like when you
don't wanna go for a run,
or 2 00:39:38
if you put your shoes on and do them up,
or 2 00:39:40
you're ready to go for the run.
or 2 00:39:41
Same kind of concept for me.
or 2 00:39:45
And another rule I have is
don't put it down, put it away.
or 2 00:39:50
If I put something down,
I never pick it back up.
or 2 00:39:53
I know I won't.
or 2 00:39:56
So put it away, don't put it down.
or 2 00:39:58
Alarms, I have a million
different alarms on my phone
or 2 00:40:01
because I know that I'm
gonna forget my appointment.
or 2 00:40:04
So I set an alarm an hour before,
or 2 00:40:06
get ready for my appointment, get ready
or 2 00:40:08
for my meeting, get ready for my lecture.
or 2 00:40:10
I know that's done and
body doubling as well.
or 2 00:40:13
Super important for me.
or 2 00:40:15
Half the stuff I get done
I can't get done on my own.
or 2 00:40:18
If I need to tidy my room
or 2 00:40:19
or if I need to do some work,
or 2 00:40:20
I'm gonna call my friend
and I'm gonna do it
or 2 00:40:22
whilst I'm on the phone or if
they can come sit even better.
or 2 00:40:26
And lastly, if I have a day
where I don't take my medication
or 2 00:40:31
or something, obviously
do your own research
or 2 00:40:33
before taking anything
or 2 00:40:35
but L-tyrosine is, I find
incredible supplement.
or 2 00:40:38
I think it's supposed
to boost your dopamine.
or 2 00:40:41
I can't quite remember how it
works off the top of my head
or 2 00:40:44
but definitely something
or 2 00:40:45
to look into if anyone out
there like doesn't work
or 2 00:40:48
with medication or thinks
they might have ADHD
or 2 00:40:51
and they don't wanna take
medication or they can't yet
or 2 00:40:54
because they've not got a
diagnosis, look into L-tyrosine
or 2 00:40:58
and see if it helps.
or 2 00:41:01
- Fabulous, thanks Natalie
and we will come back
or 2 00:41:02
to medications in a moment as well.
or 2 00:41:04
But first I just wanted
to make sure that Kate,
or 2 00:41:07
what do you think about coping mechanisms?
or 2 00:41:09
What works for you?
or 2 00:41:11
- Cheers, I was just gonna say that yes,
or 2 00:41:13
'cause L-tyrosine is the
precursor to dopamine chemically,
or 2 00:41:16
which is why the high protein breakfast
or 2 00:41:18
works so well as well.
or 2 00:41:22
I had to get my chem head in there
or 2 00:41:24
somewhere was gonna say.
or 2 00:41:26
So I'm very new to all of this
or 2 00:41:28
so I'm learning a lot from all of you.
or 2 00:41:30
Thank you because I said
this kind of came out
or 2 00:41:33
of nowhere in the past couple of years
or 2 00:41:35
and I don't really know what's going on.
or 2 00:41:37
But what I do know is
or 2 00:41:40
that normal time management
methods do not work.
or 2 00:41:43
So we hear a lot of eat that frog
or 2 00:41:45
and blah blah blah blah blah and I can't,
or 2 00:41:47
the frog is irrelevant to me
or 2 00:41:48
'cause I'm interested in
the zebra in the corner.
or 2 00:41:51
So I have to build up in
a slightly different way.
or 2 00:41:56
I was also gonna say, sorry.
or 2 00:41:57
I know but you know what I mean?
or 2 00:42:00
Randomly, I want to just tell Eric yes,
or 2 00:42:01
I'm trained as a coach
too and it's amazing.
or 2 00:42:05
Anyway, so,
or 2 00:42:06
and that's been really
helpful for me actually
or 2 00:42:08
as a coping mechanism.
or 2 00:42:09
Didn't realise it at the time
but I think it was deliberate
or 2 00:42:12
'cause I wanted to understand
how other people behaved
or 2 00:42:15
and the ways other people behaved.
or 2 00:42:17
I think that has become
something of a special interest.
or 2 00:42:21
But it really helped me understand
the responses of others.
or 2 00:42:24
And so if someone's
very direct, but that's
or 2 00:42:26
because they're a very direct personality,
or 2 00:42:27
it makes me less likely
to spiral, et cetera.
or 2 00:42:31
But in terms of getting stuff
done, I have to build up
or 2 00:42:36
almost like build up dopamine.
or 2 00:42:38
I need quick wins in the
morning to get started.
or 2 00:42:42
If I just go for the hardest things first,
or 2 00:42:44
I'll just end up rocking in a corner.
or 2 00:42:45
But I just go right, what is
the smallest, easiest thing
or 2 00:42:49
that frankly is gonna take me nothing
or 2 00:42:51
and I have to just build up the momentum
or 2 00:42:54
and then I can tackle that big thing,
or 2 00:42:56
which is the exact opposite
of what all the common
or 2 00:42:59
Task management tells you to do.
or 2 00:43:03
It's something I really wanna
bring in to our institution.
or 2 00:43:05
We're all facing efficiency
drives across the sector
or 2 00:43:10
and any efficiency drive has got
or 2 00:43:11
to take the neurodivergent
mind into accounts.
or 2 00:43:13
There will need to be separate
advice on task management
or 2 00:43:16
for people who cannot
just, you know, people go,
or 2 00:43:20
oh just block out your day.
or 2 00:43:21
Great, my outlook says
I'm not doing anything
or 2 00:43:23
but I can assure you that
that is not what is happening.
or 2 00:43:27
So yeah, so I think
or 2 00:43:29
that's the bit I'm learning
And then I just wanna thank
or 2 00:43:31
the rest of you for all of your advice
or 2 00:43:33
because I've taken much of it on.
or 2 00:43:37
- That's brilliant Kate.
or 2 00:43:38
Again, it's coming back to
or 2 00:43:39
that thing of appreciate
we've got people in the room
or 2 00:43:43
that have got that same diagnosis
or 2 00:43:45
but that there's still
variations in how we need
or 2 00:43:49
to do things in our way for us in relation
or 2 00:43:51
to our fluctuations and our experiences.
or 2 00:43:56
And I was also laughing
'cause I'm a coach as well.
or 2 00:43:59
It's like, and you know
or 2 00:44:02
and I've met so many people
in that coaching space
or 2 00:44:06
of people like, oh yeah maybe.
or 2 00:44:08
And I think it's about
that you know that some
or 2 00:44:10
of those other parts, elements.
or 2 00:44:12
- How I actually started
looking into it was
or 2 00:44:14
'cause I was on a training accelerator.
or 2 00:44:15
I train with the coaching academy
or 2 00:44:16
and they do these big accelerators.
or 2 00:44:19
- Oh hello.
or 2 00:44:20
- I literally, I got onto
one of the calls on one
or 2 00:44:22
of those breakout rooms that they do
or 2 00:44:24
and someone went, well
you're in your own space.
or 2 00:44:26
And I went, no I'm not.
or 2 00:44:29
I was literally honest to God.
or 2 00:44:30
And then a few months
later when everything
or 2 00:44:32
started falling apart, I was
like, maybe she was right.
or 2 00:44:35
I've been trying to find her,
or 2 00:44:36
I can't remember her name obviously like,
or 2 00:44:38
but I wanna find her
and be like, cheers fam.
or 2 00:44:40
She was like, no, there's
something about you,
or 2 00:44:41
you're spacey.
or 2 00:44:43
- ADHDers need to help
others and support others.
or 2 00:44:50
Okay, so let's just,
or 2 00:44:51
so we've spoke about a lot
of the coping mechanisms,
or 2 00:44:53
which is really around how
we kind of manage ourselves
or 2 00:44:57
and use tricks and tools
to manage ourselves.
or 2 00:44:59
But what about medications then?
or 2 00:45:02
Are they any good?
or 2 00:45:03
Do they really help?
or 2 00:45:04
Eric, do you wanna kick us off?
or 2 00:45:06
- Yep, I think linked to
people's coping mechanisms,
or 2 00:45:08
if you've met one person with ADHD,
or 2 00:45:11
you've met one person with ADHD.
or 2 00:45:13
It's a great like phrase
or 2 00:45:14
that I've learned from one
of my friends with ADHD.
or 2 00:45:17
And I think the same with medication.
or 2 00:45:18
People have to find what works with them
or 2 00:45:20
and it can also be what brand.
or 2 00:45:22
So I've been quite lucky.
or 2 00:45:23
I've found medication
straight away that worked
or 2 00:45:25
and went through different
stages of titration.
or 2 00:45:28
So I'm on one of the
stimulant medications.
or 2 00:45:29
I must say that there's different types.
or 2 00:45:31
There's a stimulant medication,
things like methylphenidate,
or 2 00:45:34
which is kind of like weak speed,
or 2 00:45:36
some people might describe it as.
or 2 00:45:38
And then there's a non
stimulant medications
or 2 00:45:41
and that carries with it a stigma.
or 2 00:45:43
And because you go go to get collected,
or 2 00:45:45
it's a controlled drug, you
have to sign extra things.
or 2 00:45:47
It's in a bag with an
orange sticker on in the UK
or 2 00:45:49
to say controlled drugs, they have to go
or 2 00:45:51
and count it out as well at the same time,
or 2 00:45:54
you have to constantly go in
or 2 00:45:55
and drop the prescription
off and be checked.
or 2 00:45:58
So there's those kind of
things that come along
or 2 00:45:59
with medication but people have to find
or 2 00:46:01
the different things.
or 2 00:46:02
My sister has a diagnosis,
she's tried multiple medications
or 2 00:46:05
to try and find the right one
or 2 00:46:07
and sometimes they just
don't work for people.
or 2 00:46:10
I think we have to be careful
they don't do everything
or 2 00:46:12
to fix your ADHD
or 2 00:46:14
and they can help control
some of the symptoms
or 2 00:46:15
to help you to focus.
or 2 00:46:17
But I think you also need
to develop other skills.
or 2 00:46:19
And I think for me,
coaching was the big thing
or 2 00:46:22
that went alongside the medication
or 2 00:46:24
to understand my brain
better and how I do things,
or 2 00:46:26
but also to challenge people around me
or 2 00:46:28
to have those difficult conversations.
or 2 00:46:30
To have some tools to
use and to understand.
or 2 00:46:34
One of my biggest issues is if people
or 2 00:46:35
aren't clear in their directions.
or 2 00:46:38
So like, you know, that will
lead me to procrastination.
or 2 00:46:41
I'll waste loads of time
doing too many things.
or 2 00:46:42
So having this kind of clean setup
or 2 00:46:45
where I'm gonna work in a particular way
or 2 00:46:47
'cause it works for me and
explain that to other people.
or 2 00:46:50
But I think everyone needs
to understand the differences
or 2 00:46:52
between the medications
or 2 00:46:53
that they may try then they
may work some of the time
or 2 00:46:55
and not all of the time that
your diet might be important.
or 2 00:46:58
The exercise, how much
sleep you're getting
or 2 00:47:00
and if you're ill and
whether they're gonna work.
or 2 00:47:01
And so I think some people
get really disappointed
or 2 00:47:04
quite quickly with them 'cause they're not
or 2 00:47:06
doing things straight away.
or 2 00:47:07
And it took maybe for me three months
or 2 00:47:09
before I noticed that suddenly
I was doing loads of stuff
or 2 00:47:11
that usually I struggle with.
or 2 00:47:12
And also I was like, wow, I've just done
or 2 00:47:14
loads of marking in one go.
or 2 00:47:15
And I thought, oh is this
what other people are like?
or 2 00:47:19
All that noise wasn't coming in.
or 2 00:47:21
I wouldn't like to say they're not voices,
or 2 00:47:23
but you know, the like not
quite being tuned into the radio
or 2 00:47:26
properly that there was
too many other things
or 2 00:47:28
and then all of a sudden, I was productive
or 2 00:47:30
and I could get that done.
or 2 00:47:30
I was like, oh wow, that was weird.
or 2 00:47:32
And then in the afternoon,
yeah, I'm bouncing
or 2 00:47:34
around all over the place
or 2 00:47:35
and maybe for some
people they have top-ups
or 2 00:47:38
so there are medications that are instant,
or 2 00:47:40
other ones kind of slow release.
or 2 00:47:42
So you get that early kind of
rise and then slow decline.
or 2 00:47:45
And some people they
break that down quickly
or 2 00:47:47
and need topped up in the afternoon
or 2 00:47:48
and then there might be a bit
of a spike in their focus.
or 2 00:47:52
And then that also relates
to maybe their behaviour
or 2 00:47:54
and their emotional state.
or 2 00:47:55
And so I think for having
people around you with
or 2 00:47:58
that understand, oh, it's the
afternoon, Eric's medications
or 2 00:48:01
gonna be running out, these metres
or 2 00:48:02
are gonna go on a bit longer.
or 2 00:48:03
Let's do this at nine o'clock
or 2 00:48:04
and put something right after it.
or 2 00:48:06
So we have to finish on time,
or 2 00:48:07
but at least he's gonna
focus the most then.
or 2 00:48:09
And so it's important to understand
or 2 00:48:11
how they change over the day.
or 2 00:48:12
But there are, so I think
or 2 00:48:14
for me there were lots of advantages.
or 2 00:48:15
Medication changed my
life, no doubt about it.
or 2 00:48:17
I think you probably
would've stopped me having
or 2 00:48:18
some kind of nervous breakdown.
or 2 00:48:20
But I think after that, after dealing with
or 2 00:48:22
that initial change, it was,
what else do I need to change?
or 2 00:48:25
And it was the way I was
working to suit other people,
or 2 00:48:28
not to suit the way my brain worked
or 2 00:48:31
and almost that period of mourning
or 2 00:48:32
and then understanding I'll fight my brain
or 2 00:48:34
and other people need to understand
or 2 00:48:36
that I will just go along.
or 2 00:48:37
I am a people pleaser and
actually be better for me
or 2 00:48:40
to work in a different way.
or 2 00:48:42
And so that's been really
useful to have the tools to do
or 2 00:48:44
that alongside the medication.
or 2 00:48:46
- Yeah and that people pleasing
is exhausting isn't it,
or 2 00:48:49
when you're trying to do
it everyone else's way.
or 2 00:48:52
And I think once there's an acceptance
or 2 00:48:55
of your ADHD of I can just do it my way
or 2 00:48:59
and I can articulate to others
what would be useful for me.
or 2 00:49:03
And I think given that we're
really nearly out of time,
or 2 00:49:07
I'm really keen that we have
a strong roundup message
or 2 00:49:11
for the audience.
or 2 00:49:12
(bright music)
or 2 00:49:18
So if someone was listening to this
or 2 00:49:21
and they thought that they had ADHD
or 2 00:49:23
or maybe it's someone who is
working closely with someone
or 2 00:49:26
who does have ADHD or
maybe you're a supervisor
or 2 00:49:30
and you've got a student with ADHD, team,
or 2 00:49:34
what do we want them to take
away from this discussion?
or 2 00:49:38
So Natalie, could I come to you first?
or 2 00:49:40
What do we want people to
take away from this chat?
or 2 00:49:46
- From the perspective
of a student with ADHD,
or 2 00:49:49
I think it's very important,
as Eric was saying,
or 2 00:49:52
to have clear instructions
or 2 00:49:54
because if they're not clear,
obviously procrastinate.
or 2 00:49:57
But more than that I think it just
or 2 00:50:01
makes your life so much
easier to follow step by step
or 2 00:50:04
and have everything clear.
or 2 00:50:07
And secondly, lots of small deadlines.
or 2 00:50:09
If I have one big deadline,
I'm not gonna do anything
or 2 00:50:12
until you know, it's urgent.
or 2 00:50:14
And the urgency is a big driving factor
or 2 00:50:17
for people with ADHD.
or 2 00:50:18
But if I have lots of small deadlines,
or 2 00:50:20
the urgency is gonna
come at different points
or 2 00:50:22
and it'll force me to make
sure I get things done
or 2 00:50:27
when they need to be done
and keep me on track.
or 2 00:50:29
And that's probably the
biggest factor that helps me.
or 2 00:50:33
- Yeah, really good tips there.
or 2 00:50:35
Kalli, what about you?
or 2 00:50:38
- I mean it's like I said,
Eric said no two people
or 2 00:50:40
with ADHD will be the same.
or 2 00:50:43
I wish my supervisors,
or 2 00:50:46
if I could have told them
one thing, I would've said,
or 2 00:50:49
please don't give me deadlines
and be patient with me.
or 2 00:50:52
Help me understand what I need to do
or 2 00:50:55
and I will find a way
to work, make it part
or 2 00:50:57
of my system instead of making myself fit
or 2 00:51:01
a plan you think will
work but probably won't
or 2 00:51:04
because I don't work
in the same way as you
or 2 00:51:06
and I do say the same thing
to my colleagues also.
or 2 00:51:09
I ask them to wash my mugs
or 2 00:51:10
because I cannot wash
my mugs at the office.
or 2 00:51:16
They're very nice about it.
or 2 00:51:17
I bring coffee and then
just they wash my mug
or 2 00:51:19
as a thank you.
or 2 00:51:20
So I really appreciate them.
or 2 00:51:22
So that's my message.
or 2 00:51:27
- Thanks Kalli.
or 2 00:51:28
Kate, what about you?
or 2 00:51:31
- I dunno how I can follow that.
or 2 00:51:33
Do you know what, I'm sorry to be soppy.
or 2 00:51:36
Normally I like to be
the Bantersaurus Rex,
or 2 00:51:38
but what I'm gonna say is that
the one thing I want someone
or 2 00:51:43
to take away, whether they
have it, think they have ADHD
or 2 00:51:46
or they have a colleague
with ADHD is compassion
or 2 00:51:49
for yourself, for your colleague
with that is curiosity.
or 2 00:51:54
You know, we're taught in coaching
or 2 00:51:55
that no behaviour is a problem behaviour.
or 2 00:51:58
And I said that oddly like the parent
or 2 00:52:00
of a toddler, apologies.
or 2 00:52:01
But what I mean is a lot,
or 2 00:52:05
it's about curiosity and understanding.
or 2 00:52:07
You can look at someone and
go, oh, they're different.
or 2 00:52:08
They're annoying, or you
could get curious about it.
or 2 00:52:11
And that includes with yourself.
or 2 00:52:13
So rather than going, oh,
or 2 00:52:14
why can't I shut up in this meeting?
or 2 00:52:16
I went in determined not to say a word,
or 2 00:52:18
and then I couldn't, get curious.
or 2 00:52:21
Or if you're wondering why a colleague,
or 2 00:52:24
sometimes I think one
person wants to describe me
or 2 00:52:25
as schizophrenic because,
you know, one second, I was,
or 2 00:52:28
it's not okay to say, I know, one second,
or 2 00:52:31
I was all confident, the
next second I was hiding.
or 2 00:52:33
And actually, rather than
saying as a judgement ,
or 2 00:52:35
maybe go for why, why might
that be kind of thing.
or 2 00:52:39
So just ask a person the question.
or 2 00:52:41
Ask yourself the question
or 2 00:52:42
and be compassionate about
whatever the response is.
or 2 00:52:46
- Beautifully put, Kate.
or 2 00:52:48
Beautifully put.
or 2 00:52:49
Cheers, Eric.
or 2 00:52:51
- I think, yeah, I think
just being educated
or 2 00:52:54
to understand what ADHD
is and what it isn't,
or 2 00:52:57
and understanding that
person that you work with.
or 2 00:52:59
They might have these highs and lows.
or 2 00:53:01
They might be working
really hard all the time
or 2 00:53:04
and just to help look out for them.
or 2 00:53:05
That be very clear about boundaries
or 2 00:53:08
and enable them to have structures
or 2 00:53:11
so that they can work within,
or 2 00:53:13
within a particular way
that's helpful to them.
or 2 00:53:14
And trying to understand that,
or 2 00:53:15
but also to understand that
to, in order to people please,
or 2 00:53:18
they may burn themselves out
or 2 00:53:20
unless the instructions are clear
or 2 00:53:21
and because the medications
are often stimulants,
or 2 00:53:24
we don't necessarily get tired
or 2 00:53:25
while we're burning ourselves out.
or 2 00:53:26
And so I think it's important
to realise that, you know,
or 2 00:53:29
to sometimes give people clear boundaries
or 2 00:53:32
and tell them exactly
what you want from them,
or 2 00:53:34
and understand that it may
take more time for them
or 2 00:53:36
to do that, or they may need
to work in a particular way,
or 2 00:53:39
but to just really
understand for their ADHD,
or 2 00:53:41
what they're like and
what works best for them
or 2 00:53:43
and what doesn't.
or 2 00:53:45
- So hopefully those
tuning in will now have
or 2 00:53:47
a much better understanding
of what ADHD is
or 2 00:53:49
and how it affects people differently.
or 2 00:53:52
We have spoke about so
much in this session.
or 2 00:53:55
It has been really interesting
and really exciting.
or 2 00:53:58
We've gone from various tips and hacks
or 2 00:54:01
and things that have worked
well for people living
or 2 00:54:04
with ADHD to some advice
for those working with ADHD.
or 2 00:54:09
But I think what we've done
importantly is maybe quash
or 2 00:54:12
some of those misconceptions
around what ADHD might be.
or 2 00:54:17
And maybe we've encouraged
some empathy in the fact
or 2 00:54:21
that it looks very different
in different individuals
or 2 00:54:24
and even in the same individual.
or 2 00:54:26
It can look different at
different times of the day
or 2 00:54:29
or depending on the cycle of the month
or 2 00:54:32
or what has been eaten
for breakfast and so on.
or 2 00:54:35
So this has been a brilliant discussion
or 2 00:54:38
and I can't wait to
meet you all in person.
or 2 00:54:40
That is gonna be fun.
or 2 00:54:43
Thank you so much, Dr. Eric Hill,
or 2 00:54:46
Kalli Mavromati, Natalie Wickett
or 2 00:54:49
and Kate Harris for sharing
really authentic, genuine,
or 2 00:54:54
honest, brave stories
today and great advice.
or 2 00:54:58
The links to relevant
resources will be included
or 2 00:55:01
in the show notes along
with a full transcript,
or 2 00:55:04
which will be available at
dementiaresearcher.nihr.ac.uk.
or 2 00:55:10
Don't forget, we do have
or 2 00:55:11
the Dementia Researcher Community app
or 2 00:55:13
where you can share your own experiences
or 2 00:55:15
and talk about this topic more.
or 2 00:55:17
Thank you so much for listening.
or 2 00:55:19
I'm Dr. Gemma Lace and
you've been listening
or 2 00:55:22
to the Dementia Researcher Podcast.
or 2 00:55:24
Goodbye.
or 2 00:55:25
Say goodbye everyone.
- Bye.
or 2 00:55:28
- [Voice Over] The
Dementia Researcher Podcast
or 2 00:55:30
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or 2 00:55:33
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or 2 00:55:35
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or 2 00:55:38
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or 2 00:55:42
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or 2 00:55:43
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or 2 00:55:45
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or 2 00:55:48
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or 2 00:55:50
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